# KENNEDY MEDICAL GROUP PRACTICE, P.C.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** KENNEDY MEMORIAL HOSPITAL UNIVERSITY MEDICAL CENTER INC.
- **Other names:** Kennedy Health Alliance
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1205114071
- **Legal business name:** KENNEDY MEMORIAL HOSPITAL UNIVERSITY MEDICAL CENTER INC.
- **Authorized official:** KATHY SCHLEIDER (VP CLINICAL INTEGRATION)
- **Authorized official phone:** (856) 783-1892

## Contact information

- **Practice address:** 205 E LAUREL RD, 1ST FLOOR, STRATFORD, NJ 08084-1301
- **Practice address phone:** (856) 783-0870
- **Practice address fax:** (856) 783-0649
- **Mailing address:** 205 E LAUREL RD, 1ST FLOOR, STRATFORD, NJ 08084-1301
- **Mailing address phone:** (856) 783-0870
- **Mailing address fax:** (856) 783-1403

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 25MB05920500 | NJ | Yes |

## Other

- **Enumeration date:** 07/28/2011
- **Last updated:** 06/18/2014